Update Collector Policy | Collectibles Insurance Services | Collect Insure Update your collector policy Submit the forms below to update your policy Get A Quote Button2 Button3 For additional support, please call us at 888-837-9537 to talk with an agent. Collector policy forms Automatic Monthly IncreaseMailing AddressNamed InsuredPolicy Limit of InsuranceProtective SafeguardsScheduled ItemsScheduled Premises (Physical Location) Change FormTemporary Additional Away from Premises CoverageTemporary Additional Shipping/Mailing CoverageTypes of CollectiblesOther First Name: Last Name: Business Name (if applicable): Policy Number: Phone: Email: Automatic Monthly Increase: AddRemove This is an optional coverage for new acquisitions and appreciation of your existing collection. Adding this coverage will apply an automatic monthly increase of 1% in coverage, up to a maximum of $1 million. Comments: Mailing Street: Mailing City: Mailing State: ---Select a StateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming Mailing ZIP Code: Change Also Applies to the Premises Location: YesNo Comments: New First Name: New Last Name: New Business Name (if applicable): Reason for Name Change: Location Street: Location City: Location State: ---Select a StateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict Of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming Location ZIP Code: Existing Policy Limit of Insurance: Requested Policy Limit of Insurance: Change is the result of adding or removing scheduled items: YesNoEmpaty If Yes, please also complete the Schedule Items form. Comments: Central Station Alarm: AddRemoveEmpaty Calls alarm company or police (location away from premises which is continually monitored) Safe: AddRemoveEmpaty Weighs at least 300 lbs. empty, no wheels, with a combination, digital or key lock. Vault: AddRemoveEmpaty Has 3-inch walls, no windows and metal doors. Location Street: Location City: Location State: ---Select a StateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict Of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming Location ZIP Code: Comments: Add/Remove Item #1 (Valued $25,000 or More): Add ItemRemove Item Item 1: Item #1 Value: Add/Remove Item #2: Add ItemRemove Item Item 2: Item #2 Value: Add/Remove Item #3: Add ItemRemove Item Item 3: Item #3 Value: Change will affect my current policy limit of insurance: YesNo If Yes, please also complete the Policy Limit of Insurance form. Comments: Where the collection is actually stored (a physical address is required, no PO Boxes). Location Street: Location City: Location State: ---Select a StateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming Location ZIP Code: Is this an additional location? YesNo If No, please indicate which address this is replacing that is currently scheduled on your policy: Type of Structure: ---Single FamilyCondoApartmentOfficeBankPublic StorageOther* If Other*, please describe: Type of Construction: ---FrameMasonrySteelOther If Other, please describe: Year Built: If built before 1950, enter the date the electrical, heating, plumbing, and roof was last updated: Storage of Collectibles: Any collectibles stored in an immobile safe weighing at least 300lbs empty? YesNo Any collectibles stored in vault with 3-inch walls, no windows, and a metal door? YesNo If Yes, What is the construction of the vault? What type of lock does the safe and/or vault have? CombinationDigitalKey Who has access to the safe and/or vault? Other Securities: Central Station AlarmSmoke Alarm(s)DeadboltsBarsOther If Other, please describe: Describe where and how your collection is stored or displayed on your premises: Are any of the collectibles stored in a basement or other areas below the ground floor? YesNo If Yes, a Stillage Endorsement will be added to the policy requiring all items be stored 6" off of the floor. Are any of the collectibles stored outdoors exposed to the elements? YesNo If Yes, please describe: Comments: Away from Premises: WorldwideDomestic Coverage Amount, Including Excess Coverage: Reason for Being Away from the Premises: Travel Date From: Travel Date To: Travel From Location: Travel To Location: Comments: Coverage Amount, Including Excess Coverage: Shipment Date: Items Shipped: Shipping Carrier: Select a CarrierFedExUPSDHLUSPS Shipping Method: ---Select Shipping MethodPriorityOvernight2nd DayGroundRegisteredExpress City & State of Origin: City & State of Destination: Signature Required: YesNo Only Signature Required shipments will be eligible for Temporary Excess Coverage. Comments: Add/Remove Type of Collectible: Add Type of CollectibleRemove Type of Collectible Type of Collectible: Change will affect my current policy limit of insurance: YesNo If Yes, please also complete the Policy Limit of Insurance form. Comments: Description of Change: Please note that no coverage will be bound and no changes made on any policy without a written "Confirmation of Insurance", Binder, Endorsement or Reinstatement from Collectibles Insurance Services. Coverage cannot be assumed if you do not receive one of the aforementioned notices. Δ